Recent prevalence studies have suggested that 15–22% of women have been raped at some point in their lives, many by close acquaintances, although few victims seek assistance services or professional psychotherapy immediately post-assault. Surveys have revealed that 31–48% of rape victims eventually sought professional psychotherapy, often years after the actual assault. These observations suggest that the primary role of clinicians in the treatment of rape victims is the identification and handling of chronic, post-traumatic responses to a nonrecent experience. However, it is concluded that most of the existing literature on rape treatment addresses only the target symptoms that represent the immediate response to rape. In this article, contemporary theoretical and empirical discussions of stress, cognitive appraisal, cognitive adaptation, and coping are used to conceptualize the long-term impact of rape and the process of resolution. Directions for future research on the clinical treatment of rape are suggested.
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References
1.
AtkesonB.CalhounK. S.ResickP. A.EllisE. (1982). Victims of rape: Repeated assessment of depressive symptoms. Journal of Consulting and Clinical Psychology, 50, 96–102.
2.
BardM.SangreyD. (1979). The crime victim's book. New York: Basic Books.
3.
BeckerJ. V.AbelG. G. (1981). Behavioral treatment of victims of sexual assault. In TurnerS. M.CalhounK. S.AdamsH. E. (Eds.), Handbook of clinical behavior therapy (pp. 347–379). New York: Wiley.
4.
BeckerJ. V.SkinnerL. J.AbelG. G.TreacyE. C. (1982). Incidence and types of sexual dysfunctions in rape and incest victims. Journal of Sex and Marital Therapy, 8, 65–74.
5.
BeckerJ. V.SkinnerL. J. (1983). Assessment and treatment of rape-related sexual dysfunctions. The Clinical Psychologist, 36, 102–105.
6.
BlanchardE. B.AbelG. G. (1976). An experimental case study of the biofeedback treatment of a rape induced psychophysiological cardiovascular disorder. Behavior Therapy, 7, 113–119.
7.
BurgessA. W.HolmstromL. L. (1979). Rape: Sexual disruption and recovery. American Journal of Orthopsychiatry, 49, 648–657.
8.
BurtM. R. (1980). Cultural myths and supports for rape. Journal of Personality and Social Psychology, 38, 217–230.
9.
BurtM. R.KatzB. L. (1987). Dimensions of recovery from rape: Focus on growth outcomes. Journal of Interpersonal Violence, 2, 57–82.
10.
DavisR. C.FriedmanL. N. (1985). The emotional aftermath of crime and violence. In FigleyC. R. (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 90–111). New York: Brunner/Mazel.
11.
EllisE. M. (1983). A review of empirical rape research: Victim reactions and response to treatment. Clinical Psychology Review, 3, 473–490.
12.
EllisE.AtkesonB.CalhounK. S. (1982). Examination of differences between multiple and single incident victims of sexual assault. Journal of Abnormal Psychology, 91, 221–224.
13.
EstepR. E.BurtM. R.MilliganH. J. (1977). The socialization of sexual identity. Journal of Marriage and the Family, 39, 99–112.
14.
EthS.PynoosR. S. (1985). Developmental perspective on psychic trauma in childhood. In FigleyC. R. (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 36–52). New York: Brunner/Mazel.
15.
FinkelN. J. (1975). Stress, traumas, and trauma resolution. American Journal of Community Psychology, 3, 173–178.
16.
FrankE.StewartB. D. (1983). Treating depression in victims of rape. The Clinical Psychologist, 36, 95–98.
17.
GreenbergL. S.SafranJ. D. (1981). Encoding and cognitive therapy: Changing what clients attend to. Psychotherapy: Theory, Research and Practice, 18, 163–169.
18.
GottmanJ. M.MarkmanH. J. (1978). Experimental designs in psychotherapy research. In GarfieldS. L.BerginA. E. (Eds.), Handbook of psychotherapy and behavior change: An empirical analysis (pp. 23–62). New York: Wiley.
19.
HolmesM. R.St. LawrenceJ. S. (1983). Treatment of rape induced trauma: Proposed behavioral conceptualization and review of the literature. Clinical Psychology Review, 3, 417–433.
20.
HorowitzM. J. (1980). Stress response syndromes. New York: Jason Aronson.
21.
Janoff-BulmanR. (1979). Characterological versus behavioral self-blame: Inquiries into depression and rape. Journal of Personality and Social Psychology, 37, 1798–1809.
22.
Janoff-BulmanR. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In FigleyC. R. (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 15–35). New York: Brunner/Mazel.
23.
KilpatrickD. G.VeronenL. J. (in press). Treatment for rape-related problems: Crisis intervention is not enough. In CohenL. H.ClairbornW.SpecterG. (Eds.), Crisis intervention. New York: Human Sciences Press.
24.
KilpatrickD. G.VeronenL. J.BestC. L. (1985). Factors predicting psychological distress among rape victims. In FigleyC. R. (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 113–141). New York: Brunner/Mazel.
25.
KilpatrickD. G.VeronenL. J.ResickP. A. (1979a, August). The rape victim: Issues in treatment failure. Paper presented at the American Psychological Association, New York.
26.
KilpatrickD. G.VeronenL. J.ResickP. A. (1979b). Assessment of the aftermath of rape: Changing patterns of fear. Journal of Behavioral Assessment, 1, 133–148.
27.
KilpatrickD. G.VeronenL. J. (1983). Treatment for rape-related problems: Crisis intervention is not enough. In CohenL. H.ClairbornW.SpecterG. (Eds.), Crisis intervention (pp. 165–185). New York: Human Sciences Press.
28.
KossM. P. (1985). The hidden rape victim: Personality, attitudinal, and situational characteristics. Psychology of Women Quarterly, 8, 193–212.
29.
KossM. P. (in press). Hidden rape: Incidence and prevalence of sexual aggression and victimization in a national sample of college students. In BurgessA. W. (Ed.), Sexual assault (Vol. II). New York: Garland.
30.
KossM. P.OrosC. J. (1982). The sexual experiences survey: A research instrument investigating sexual aggression and victimization. Journal of Consulting and Clinical Psychology, 50, 455–457.
31.
KossM. P.GidyczC. J.WisniewskiN. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55, 162–170.
32.
LazarusR. S.FolkmanS. (1984). Stress, appraisal, and coping. New York: Springer.
33.
LernerM. J. (1980). The belief in a just world. New York: Plenum Press.
34.
MeyerC. B.TaylorS. D. (1986). Adjustment to rape. Journal of Personality and Social Psychology, 50, 1226–1234.
35.
McCahillT. W.MeyerL. C.FischmanA. M. (1979). The aftermath of rape. Lexington, MA: Heath.
36.
MillerW. R.WilliamsA. M.BernsteinM. H. (1982). The effects of rape on marital and sexual adjustment. The American Journal of Family Therapy, 10, 51–58.
37.
NadelsonC.NotmanM.JacksonH.GornickJ. (1982). A follow-up study of rape victims. American Journal of Psychiatry, 139, 1266–1270.
38.
NotmanM. T.NadelsonC. (1976). The rape victim: Psychodynamic considerations. American Journal of Psychiatry, 133, 408–413.
39.
PasewarkR. A.AlbersD. A. (1972). Crisis intervention: Theory in search of a paradigm. Social Work, 17, 70–77.
40.
PennebakerJ. W.O'HerronR. C. (1984). Confiding in others and illness rate among spouses of suicide and accidental-death victims. Journal of Abnormal Psychology, 93, 473–476.
41.
ResickP. A. (1983). The rape reaction: Research findings and implications for intervention. The Behavior Therapist, 6, 129–132.
42.
RuchL. O.ChandlerS. M.HarterR. A. (1980). Life change and rape impact. Journal of Health and Social Behavior, 21, 248–260.
43.
RussellD. E. H. (1984). Sexual exploitation. Beverly Hills: Sage.
44.
ScurfieldR. M. (1985). Post-trauma stress assessment and treatment: Overview and formulations. In FigleyC. R. (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorders (pp. 219–256). New York: Brunner/Mazel.
45.
SilverR. L.BoonC.StonesM. H. (1983). Searching for meaning in misfortune: Making sense of incest. Journal of Social Issues, 39, 81–102.
46.
SummitR. L. (1983). The child sexual abuse accommodation syndrome. Child Abuse and Neglect, 7, 177–193.
47.
TaylorS. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.
48.
VeronenL. J.KilpatrickD. G. (1982, November). Stress innoculation training for victims of rape: Efficacy and differential findings. Paper presented at the Association for Advancement of Behavior Therapy, Los Angeles.
49.
WolffR. (1977). Systematic desensitization and negative practice to alter the aftereffects of a rape attempt. Journal of Behavior Therapy and Experimental Psychiatry, 8, 423–425.
